Yes!! It is Ridiculous. Does anyone know if ADA or AADE are working on this?
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Martha Mitchell Funnell, MS, RN, CDE, FAAN
Emeritus Research Scientist
Department of Learning Health Sciences
University of Michigan Medical School
230 Victor Vaughan Bldg, SPC 2054
1111 East Catherine Street
Ann Arbor, MI 48109-2054
(734) 358-3196
Fax (734) 936-1641
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Original Message:
Sent: 04-16-2020 13:21
From: Debbie Erlandson
Subject: Can RN CDCES provide DSMT via telehealth?
Does this statement bother anyone else besides me? Why shouldn't an RN CDCES be given the same ability to to provide DSME via telehealth or in person and be able to charge for these visits similarly as an RD or RDN? The clinical and educational background of an RN, which now includes nutrition training, should be sufficient to prove "competency." With diabetes so rampant, expanding the scope and role of the RN CDCES should be a consideration by the ADA and all boards of licensing and credentialing.
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Debbie Erlandson BS, MSC, CDE
Cigna
Atlantic City NJ
Original Message:
Sent: 04-15-2020 16:15
From: Valeria Rezende
Subject: Can RN CDCES provide DSMT via telehealth?
Patients with Diabetes benefit from a multidisciplinary team approach for education and treatment. At this difficult time, only RDs are to charge the education provided via telemedicine. I hope this rule is revised soon but meanwhile be aware that RD, CDCES are prepared and able to provide Diabetes Education in all self-care behaviors , not only in "diet" as mentioned above.
Please refer to the Standards of Practice and Standards of Professional Performance for RDNs in Diabetes Care, https://jandonline.org/article/S2212-2672(18)30303-4/pdf, which states on page 939:
"In specific instances, the practice of some RDNs has evolved to include care beyond diabetes MNT. In accordance with demonstrated competence and organization-approved protocols, some RDNs now provide instruction for self-monitoring blood glucose, insulin administration, adjusting diabetes medication, as well as provide training on CSII and CGM devices. It is important to note that neither the CDE nor BC-ADM credential authorizes an individual to perform tasks outside of his or her professional scope of practice, but an RDN, after competency is demonstrated, can teach a patient/ client to self-administer his or her own insulin injections or perform an invasive procedure and adjust medications when using provider or organization-approved protocols."
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Valeria Rezende, MS,RDN,CDCES
Cumming GA
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